Provider First Line Business Practice Location Address:
UCLA NPI SEMEL
Provider Second Line Business Practice Location Address:
BOX 951759, C8-225 SEMEL
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-825-5048
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/25/2008